0001209191-17-012211.txt : 20170217 0001209191-17-012211.hdr.sgml : 20170217 20170217170213 ACCESSION NUMBER: 0001209191-17-012211 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170215 FILED AS OF DATE: 20170217 DATE AS OF CHANGE: 20170217 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOMINOS PIZZA INC CENTRAL INDEX KEY: 0001286681 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] IRS NUMBER: 382511577 BUSINESS ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDMAN JAMES A CENTRAL INDEX KEY: 0001194070 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 17622188 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-15 0 0001286681 DOMINOS PIZZA INC DPZ 0001194070 GOLDMAN JAMES A DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 1 0 0 0 Common Stock, $0.01 par value 2016-10-24 4 G 0 537 0.00 D 14225 D Common Stock, $0.01 par value 2016-11-08 4 G 0 61 0.00 D 14164 D Common Stock, $0.01 par value 2017-02-15 4 A 0 600 0.00 D 13564 D This transaction involved a gift of common stock of Domino's Pizza, Inc. by Mr. Goldman to charity. The shares of common stock represent a grant of restricted stock that shall vest 100% on the first anniversary of the issuance date. Thus, all shares shall vest on February 15, 2018. /s/ Adam J. Gacek, attorney-in-fact 2017-02-17